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General NPI Number Information
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NPI Number | 1730158676
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Entity Type | Individual
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Provider Name | JILLAINE ANN SOCHA P.A.- C
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 230 SAN JOSE ST
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City | SALINAS
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State | CA
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Zip | 93901-3901
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Country | US
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Telephone | 831-758-2100
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Fax | 831-758-1565
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Provider Business Mailing Address
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Address Line | 1260 S MAIN ST SUITE 202
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City | SALINAS
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State | CA
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Zip | 93901-2288
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Country | US
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Telephone | 831-769-9355
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Fax | 831-754-4955
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA11365
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License Number State | CA
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